05D2058090 CLIA NUMBER - Pavilions Pharmacy #2692

Laboratory Demographics

CLIA Number: 05D2058090

Facility Name: Pavilions Pharmacy #2692

Facility Address:
2938 Tapo Canyon Rd,
Simi Valley, CA
ZIP 93063
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Facility Phone Number: (805) 426-6040

Facility Type: PHARMACY

Certificate Type: Waiver

CLIA Record

Field Name Field Value
CLIA Number 05D2058090
LAB Type PHARMACY
Facility Name Pavilions Pharmacy #2692
Street 2938 Tapo Canyon Rd,
City Simi Valley
State CA
ZIP 93063
Phone 8054266040

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This page was last updated on: 5/19/2019